Queens North Hawaii Community Hospital

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

39H Issued in HI

Legal business name

QUEENS NORTH HAWAII COMMUNITY HOSPITAL

Practice address

67-1125 Mamalahoa Hwy
Kamuela, HI 96743-8496

Phone

(808) 881-4400

Fax

(808) 881-4404

NPI assigned

Nov 14, 2005

Last updated

Oct 4, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Money S. Atwal

Title

Director of Finance & It

Phone

(808) 881-4409

Specialties & licenses 12

Addresses

Other names 1

• North Hawaii Medical Group Other name

Medicare fee-for-service enrollment

Enrolled in HI, CA, WI, WA, ID, NJ, MA, DE, MD, MI, PA, DC, LA, TX, FL, UT, NY, AZ, CT, OH, OK22 enrollments

Enrollment records 22

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Queen's North Hawaii Community Hospital

  • Obstetrics & Gynecology Physician
  • Kamuela, HI
  • NPI 1033602743

  0143116293

  Same PAC ID
• Queen's North Hawaii Community Hospital

  • General Practice Physician
  • Kamuela, HI
  • NPI 1780177493

  0143116293

  Same PAC ID
• Queens North Hawaii Community Hospital

  dba Kohala Home Health Care of North Hawaii Community Hospital, Inc.

  • Home Health Agency
  • Kamuela, HI
  • NPI 1124009584

  0143116293

  Same PAC ID
• Queens North Hawaii Community Hospital

  • General Acute Care Hospital
  • Kamuela, HI
  • NPI 1477559029

  0143116293

  Same PAC ID

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Island Orthopaedics, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Honolulu, HI
  • NPI 1801186549

  O20110616000157

  Same enrollment
• North Hawaii Community Hospital

  dba NHCH - Diabetes Wellness

  • General Acute Care Hospital
  • Kamuela, HI
  • NPI 1831380724

  O20040225000562

  Same enrollment
• North Hawaii Community Hospital, Inc

  dba North Hawaii Ohana Care

  • Home Health Agency
  • Kamuela, HI
  • NPI 1750476552

  O20040225000562

  Same enrollment
• North Hawaii Community Hospital, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Kamuela, HI
  • NPI 1033190319

  O20040225000562

  Same enrollment
• North Hawaii Community Hospital, Inc.

  • General Acute Care Hospital
  • Kamuela, HI
  • NPI 1730327396

  O20040225000562

  Same enrollment
• Queens North Hawaii Community Hospital

  dba Kohala Home Health Care of North Hawaii Community Hospital, Inc.

  • Home Health Agency
  • Kamuela, HI
  • NPI 1124009584

  O20040225000562

  Same enrollment
• Queens North Hawaii Community Hospital

  • General Acute Care Hospital
  • Kamuela, HI
  • NPI 1477559029

  O20231115001034, O20241216003108, O20250131002065, O20250211000923, O20250220002780, O20250224000296, O20250317002814, O20250318000836, O20250407001517, O20250415003565, O20250718000211, O20250721000585, O20250805000813

  Same enrollment

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Queen's North Hawaii Community Hospital

  • Obstetrics & Gynecology Physician
  • Kamuela, HI
  • NPI 1033602743

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Queen's North Hawaii Community Hospital

  • General Practice Physician
  • Kamuela, HI
  • NPI 1780177493

  5% Or Greater Direct Ownership Interest

  CMS ownership

Practitioners 366

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Omar Abdul Fattah Abdul Ghani, M.B.B.S

  • Cardiovascular Disease Physician
  • Ewa Beach, HI
  • NPI 1982916839
  Medicare reassignment Care Compare group NPD
• Kenji Karl Ashman

  • Medical Physician Assistant
  • Honolulu, HI
  • NPI 1639848963
  Medicare reassignment Care Compare group NPD
• Thomas N.M. Au, MD

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1184770463
  Medicare reassignment Care Compare group NPD
• Mandi Te Benton, APRN, FNP-BC

  • Adult Health Nurse Practitioner
  • Honolulu, HI
  • NPI 1154630473
  Medicare reassignment Care Compare group NPD
• Maythawee Bintvihok, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Ewa Beach, HI
  • NPI 1912359910
  Medicare reassignment Care Compare group NPD
• Donald R Blair, MD

  • Diagnostic Radiology Physician
  • Honolulu, HI
  • NPI 1477523710
  Medicare reassignment Care Compare group NPD
• Ronald M Boyd, MD

  • Diagnostic Radiology Physician
  • Kahului, HI
  • NPI 1417965682
  Medicare reassignment Care Compare group NPD
• John D Chan, MD

  • Vascular & Interventional Radiology Physician
  • Honolulu, HI
  • NPI 1245280510
  Medicare reassignment Care Compare group NPD
• Yixin Chen, MD

  • Obstetrics & Gynecology Physician
  • Honolulu, HI
  • NPI 1659995900
  Medicare reassignment Care Compare group NPD
• Daniel Marcus Chevy, M.D.

  • Internal Medicine Physician
  • Kamuela, HI
  • NPI 1558680959
  Medicare reassignment Care Compare group NPD
• Noel Ming Chia, MD

  • Family Medicine Physician
  • Kamuela, HI
  • NPI 1083696975
  Medicare reassignment Care Compare group NPD
• Cecilia Choi, MD

  • Hematology & Oncology Physician
  • Makawao, HI
  • NPI 1558562371

  Single Specialty

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1528049814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67-1125 MAMALAHOA HWY",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438496",
            "telephone_number": "808-881-4400",
            "fax_number": "808-881-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67-1125 MAMALAHOA HWY",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438496",
            "telephone_number": "808-881-4400",
            "fax_number": "808-881-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS NORTH HAWAII COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "ATWAL",
        "authorized_official_first_name": "MONEY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE & IT",
        "authorized_official_telephone_number": "808-881-4409"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "MFT-272",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "HI",
            "license": "39H",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "39H",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "HI",
            "license": "39H",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "HI",
            "license": "39H",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "HI",
            "license": "39H",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "AMD-424",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-1488",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-1477",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "HI",
            "license": "39H",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "HI",
            "license": "39H",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Hawaii Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pure Life Chiropractic, LLC
• Queen's North Hawaii Community Hospital
• Queen's North Hawaii Community Hospital
• Queens North Hawaii Community Hospital (Kohala Home Health Care of North Hawaii Community Hospital, Inc.)
• Queens North Hawaii Community Hospital
• Valerie Quijano, D.C.
• R. Charles Ray, MD, LLC
• Jennifer Marie Rabideau, RN BSN CDE
• Margaret Ragen, LM, CM, MS
• Rainbow Medical Supply Inc.

• Orthopaedic Surgery Physician in Kamuela, HI
• Providers in Kamuela, HI by specialty
• Orthopaedic Surgery Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.